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The Politics Of Mental Health After Care, Steve Rose 2014 Western Michigan University

The Politics Of Mental Health After Care, Steve Rose

The Journal of Sociology & Social Welfare

Essential to the development of a positive practice in mental health after-care is a precise formulation of clients' needs. Clarity about a statement of needs provides added information about anticipated obstacles to meeting those needs, both at the client and systemic levels. To accomplish this preliminary task, it becomes necessary to create what we refer to as a "problem definitional" level of theory. Problem defining theory mediates between more global theory, which establishes a larger context for understanding the broad policy issues and direct implications,* and the articulation of practice theory.


The Non-Orthodox Cancer Therapy Movement: Emergent Organization In Health Care Crisis, Joseph Behar 2014 Western Michigan University

The Non-Orthodox Cancer Therapy Movement: Emergent Organization In Health Care Crisis, Joseph Behar

The Journal of Sociology & Social Welfare

The ideology and organization of the non-orthodox cancer therapy movement are analyzed as social constructions in an area of professional ambiguity and failure. The movement articulates, integrates, and orders the personally and socially disabling consequences of health care failure in cancer. The protest activities of the movement are characterized by political opposition to medical "orthodoxy" and "monopoly." The challenges of the non-orthodox movement are generally ineffective, non-legitimated, or coopted. Yet, in providing conceptual and organizational frames for the disordering consequences of medical failure and in establishing a politically polarized deviant position in relation to conventional practice, this movement socially organizes ...


Regional Planning Of Mental Health Services: An Illinois Case Example, Wynne Sandra Korr 2014 Western Michigan University

Regional Planning Of Mental Health Services: An Illinois Case Example, Wynne Sandra Korr

The Journal of Sociology & Social Welfare

Now that Reagan has ended a twenty-year pattern of federal involvement in setting mental health policy priorities, states must develop models for implementing and maintaining services to the mentally ill. The Illinois model of regional offices which plan and monitor programs is described. A case example showing how one such office developed services in a minority community is given. Examples of the work of other offices illustrate the flexibility of this model in meeting special community needs.


Disinnovation In The American States: Policy Toward Health Systems Agencies, Keith Mueller, John Comer 2014 Western Michigan University

Disinnovation In The American States: Policy Toward Health Systems Agencies, Keith Mueller, John Comer

The Journal of Sociology & Social Welfare

Requiring the states to involve consumers in health planning through local health planning boards (HSAs) was an attempt by the federal government to control health care costs. Elimination of this requirement more recently has meant some states have discontinued the program. The elimination of HSAs can be considered a case of policy disinnovation. Drawing on the innovation literature, the following variables were expected to correlate, although negatively, with elimination of HSAs: value added to manufacturing, average acre value of farms, per capita income, population living in metropolitan areas, and party competition. All were found to correlate negatively. Predisposition to spend ...


Scientific Ideologies And Conceptions Of Drinking Behavior And Alcoholism, Keith M. Kilty 2014 Western Michigan University

Scientific Ideologies And Conceptions Of Drinking Behavior And Alcoholism, Keith M. Kilty

The Journal of Sociology & Social Welfare

Conventional explanations of drinking behavior and alcoholism suffer from serious inadequacies, due in large part to their unquestioning acceptance of certain assumptions about the effects of alcohol on human behavior that are rooted in moral prescriptions. That is, most contemporary models of drinking behavior assume that the consumption of alcohol leads to the loss of inhibitions or self-control, ultimately leading to behaviors that are not predictable by either the drinker or society. This perspective has become so deeply ingrained in the social scientific literature that it is no longer even perceived as hypothetical; instead, it has taken on the character ...


"Medical Democracy In A Health Systems Agency: The Role Of Staff", James Latimore 2014 Western Michigan University

"Medical Democracy In A Health Systems Agency: The Role Of Staff", James Latimore

The Journal of Sociology & Social Welfare

The performance of consumers or laypersons in government programs has been studied extensively, usually from the standpoint of the control exercised by providers or other professionals, or correlative, what consumers need in order to be on an equal footing with the experts. At stake is lay control -i.e., democracy. This case study of one Health Systems Agency (HSA) in contrast, focuses attention on the crucial role of the HSA staff in the democratization of health care. Outcomes, such as cost-containment and allocation of resources, can be examined in terms of the staff's interests and the constraints of its ...


Shared Ethnicity As A Correlate Of Acceptance Of The Formerly Hospitalized Mentally Ill, Jonathan Rabinowitz 2014 Western Michigan University

Shared Ethnicity As A Correlate Of Acceptance Of The Formerly Hospitalized Mentally Ill, Jonathan Rabinowitz

The Journal of Sociology & Social Welfare

This study looked at shared ethnicity of former mental patient and community member as a possible correlate of acceptance of the formerly hospitalized mental patient as a potential tenant. This study is an exploratory study with a comparative perspective using a design in which the willingness to accept a former mental patient as a renter in one of four groups is explored. Current research in this field has ignored the variable of shared ethnicity. The findings of this study did not reach the .05 level of significance, however the results seem to indicate that in some cases shared ethnicity is ...


A Contest Of Values: A Cultural History Of Approaches Toward Alcohol, John E. Tropman 2014 Western Michigan University

A Contest Of Values: A Cultural History Of Approaches Toward Alcohol, John E. Tropman

The Journal of Sociology & Social Welfare

This is a smaller version of a manuscript prepared for the special seminar on Alcohol and Social Policy, School of Social Work, University of Michigan, Winter 1978. The assistance of Kim Hoa Granville and Craig King is gratefully acknowledged. The support and encouragement of Dr. Edith Gomberg also needs to be recognized; without it, this paper never would have materialized.


Meaning In Work: Toward A Clinical Approach To Work Dissatisfaction, Shimshon M. Neikrug 2014 Western Michigan University

Meaning In Work: Toward A Clinical Approach To Work Dissatisfaction, Shimshon M. Neikrug

The Journal of Sociology & Social Welfare

This paper deals with issues relating to the meaning of work for the worker and clinical implications for the social worker intervening in the field of industrial and occupational social work. The problems of work dissatisfaction and alienation in work are analyzed. The author presents two concepts, work as play and logotherapy, as being useful in the clinical intervention in work related problems. It is concluded that the absence of work dissatisfaction need not be the goal of intervention, rather the clinical encounter can strive for meaningfulness, growth, and self-discovery.


Program In Social Work With Groups: A Jungian Perspective, Herman Borenzweig 2014 Western Michigan University

Program In Social Work With Groups: A Jungian Perspective, Herman Borenzweig

The Journal of Sociology & Social Welfare

In their text Social Group Work Practice, published in 1949 and affectionately called, "The Green Bible," by many social workers trained within its tradition, Wilson and RylandI portray program as, "the use of activities for attaining and maintaining mental health." By deemphasizing recreational modalities, social group workers have sacrificed their holistic practice, allowing other professionals to fill this vacuum. Recently, for example, "Sing your way back to health," is a "new" therapy in Los Angeles. Also, many Gestalt therapy exercises owe a debt to J.L. Moreno's psychodrama. Singing, drama, are but two of the many program tools taught ...


Psychological And Emotional Impact Of Unemployment, Michael Borrero 2014 Western Michigan University

Psychological And Emotional Impact Of Unemployment, Michael Borrero

The Journal of Sociology & Social Welfare

Having seen the discussion of the meaning of work and the important role it plays in our lives, as developed by Borrero and Rivera, we now need to address what happens to people when they want to work but are unable to because of economic recessions, depressions and economic policies. The focus of the following paper is to review the literature concerning the psychological and emotional stresses that are brought about as a result of unemployment.


Adjusting Learning Parameters To Increase Cognitive Resource Allocation In Persons With Alcoholism Risk, Brooke Snelgrove, Taylor Stephens, Yasmin Akbari, Reyn Yoshiura, Lilian Andrade 2014 Chapman University

Adjusting Learning Parameters To Increase Cognitive Resource Allocation In Persons With Alcoholism Risk, Brooke Snelgrove, Taylor Stephens, Yasmin Akbari, Reyn Yoshiura, Lilian Andrade

Undergraduate Student Research Day Abstracts and Posters

Parental history of alcoholism is associated with increased alcoholism risk in their children. One factor increasing alcoholism risk is the presence of attention and information encoding disruptions in adult children of alcoholics (ACOA) compared to persons who are not ACOAs (NACOA). Alcohol ingestion reduces these disruptions in ACOAs. This study examined whether alterations of information processing parameters can function like alcohol and reduce processing disruptions experienced by the ACOA. Participants were 80 ACOAs and 80 NACOAs, partitioned into four groups of 20 participants. During learning, subjects studied presentations of stimulus items followed by the presentation of associated response items. The ...


Increasing Response Time And Response Evaluation Time Compensates For Information Processing Difficulties In Persons At Risk For Alcoholism, Yasmin Akbari 2014 Chapman University

Increasing Response Time And Response Evaluation Time Compensates For Information Processing Difficulties In Persons At Risk For Alcoholism, Yasmin Akbari

Undergraduate Student Research Day Abstracts and Posters

Parental history of alcoholism is associated with increased alcoholism risk in their children. One factor increasing alcoholism risk is the presence of attention and information encoding disruptions in adult children of alcoholics (ACOA) compared to persons who are not ACOAs (NACOA). Alcohol ingestion reduces these disruptions in ACOAs. This study examined whether alterations of information processing parameters can function like alcohol and reduce processing disruptions experienced by the ACOA.

Participants were 80 ACOAs and 80 NACOAs, partitioned into four groups of 20 participants. During learning, subjects studied presentations of stimulus items followed by the presentation of associated response items. The ...


The Self Disclosure Of Clinical Social Workers, Herman Borenzweig 2014 Western Michigan University

The Self Disclosure Of Clinical Social Workers, Herman Borenzweig

The Journal of Sociology & Social Welfare

My interest in this study arose from what I believed to be the discrepancy between the conventional wisdom about self disclosure and its occurrence in the practice of clinical social work. Bradmiller'sI study, one of the few studies about self disclosure in the practice of social work, found that persons with masters degrees in social work (MSW's) disclose significantly more to their colleagues than do undergraduate social work majors. The MSW's in Bradmiller's study self disclosed to clients at a lesser rate than they did to other target persons. Bradmiller2 interprets her study, " ...... most simply as ...


Toward A Model Of Factors Influencing The Hiring Of Women With A History Of Breast Cancer, Nancy McCharen, Jo Anne L. Earp 2014 Western Michigan University

Toward A Model Of Factors Influencing The Hiring Of Women With A History Of Breast Cancer, Nancy Mccharen, Jo Anne L. Earp

The Journal of Sociology & Social Welfare

Whether surgical treatment for cancer which results in the removal of an external part of the body is viewed by employers as a medical disability that interferes with the performance of job-related functions, or fits a more stereotypic definition of a physical handicap that might even prevent an employee from being hired, has not been adequately studied. To identify factors which influence employers' decisions to hire women who have had breast cancer, a model of factors influencing the decision to hire was developed. A random sample of personnel directors from an industrialized North Carolina county was surveyed. A majority had ...


A Peer Counseling Training Program For Disabled Women: A Tool For Social And Individual Change, Marsha Saxton 2014 Western Michigan University

A Peer Counseling Training Program For Disabled Women: A Tool For Social And Individual Change, Marsha Saxton

The Journal of Sociology & Social Welfare

This article presents a description of a successful peer counseling training program for disabled women, offered in a community-based self help organization. The program provides both training in peer counseling skills, and a personal growth experience. It was carried out in a group context specifically designed for the needs of women with disabilities. The counseling approach, the training format and curriculum, and the evaluation procedures can all serve as a basis for agencies interested in developing similar programs.


Women And Chronic Renal Failure: Some Neglected Issues, Nancy G. Kutner, Heather L. Gray 2014 Western Michigan University

Women And Chronic Renal Failure: Some Neglected Issues, Nancy G. Kutner, Heather L. Gray

The Journal of Sociology & Social Welfare

It has been assumed until recently that chronic renal failure is more prevalent among men than among women, but data now indicate that at least half of all renal patients are women. The literature continues to focus on adjustment problems of male patients, especially sexual adjustment and job-loss problems, and to assume that women can adjust more easily because of their ability to maintain the homemaker role. However, women patients whose work status is that of homemaker are found to have the highest depression scores, and job loss results in low satisfaction for those who have held meaningful outside jobs ...


Benefits For The Disabled: How Beneficial For Women?, Elizabeth Ann Kutza 2014 Western Michigan University

Benefits For The Disabled: How Beneficial For Women?, Elizabeth Ann Kutza

The Journal of Sociology & Social Welfare

The social and economic consequence of disability is of increasing interest in American society today. The numbers of persons reporting disabling conditions is rising, as is the number of persons qualifying for public disability benefits. This article examines the impact of current United States disability policy on disabled women, and concludes that the major programs - disability insurance, supplemental security income, workers' compensation, vocational rehabilitation - because of their relationship to labor market participation, disadvantage women. Women not only receive fewer, but less generous benefits. Explanations of this outcome, and implications for future policy are addressed.


Changing Physician Ideologies On The Care Of The Dying: Themes And Possible Explanations, John MacDougall 2014 Western Michigan University

Changing Physician Ideologies On The Care Of The Dying: Themes And Possible Explanations, John Macdougall

The Journal of Sociology & Social Welfare

An analysis of changing physician ideologies regarding the care of elderly dying patients, as expressed in technical journals read by American physicians. Markedly more titles concerning terminal care are found in Index Medicus in 1968- 78 than in 1960-67. In one journal, physicians are only after 1964 urged to tell patients openly about their condition and after 1969, to improve cooperation within professional teams. Two explanations of these data are tentatively explored: 1) a Parsonian explanation, whereby medical ideologies reflect professional autonomy and the influence of internalized moral norms; 2) a Marxist explanation, whereby medical ideologies reflect physicians' transformation from ...


Organizational Structure And Professional Norms In An Alternative Health Care Setting: Physicians In Health Maintenance Organizations, Judith K. Barr, Marcia K. Steinberg 2014 Western Michigan University

Organizational Structure And Professional Norms In An Alternative Health Care Setting: Physicians In Health Maintenance Organizations, Judith K. Barr, Marcia K. Steinberg

The Journal of Sociology & Social Welfare

The development of new organizational forms for the delivery of health and medical care in the U.S. includes health maintenance organizations (HMOs), designed to provide a set of comprehensive basic health services to a defined population for a fixed prepaid premium. As complex organizations, HMOs have the potential for limiting the autonomy of professionals working in them. This paper describes the legal requirements and organizational mechanisms under which physicians practice in HMOs and considers the potential for conflict between the organization and professional norms.

On the basis of document and interview data from nine HMOs, it appears that mechanisms ...


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